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Individual

JAMES M TIMMONS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
216 E MARION ST, KERSHAW, SC 29067-1442
(803) 475-3475
(803) 475-5360
Mailing address
PO BOX 1259, CAMDEN, SC 29021-1259
(803) 713-8350
(803) 713-8433

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8078
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
080780
SC
01
198844
MEDCOST PIN
SC
01
P00416733
RAILROAD MEDICARE PIN
SC
Enumeration date
11/14/2005
Last updated
02/24/2012
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